| Kelli Eglinger, PA | |
|
17978 Sr 55, Baker, WV 26801 | |
| (304) 897-5915 | |
| Not Available |
| Full Name | Kelli Eglinger |
|---|---|
| Gender | Female |
| Speciality | Physician Assistant |
| Location | 17978 Sr 55, Baker, West Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417926684 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363A00000X | Physician Assistant | 0110840566 (Virginia) | Primary |
| 363AM0700X | Physician Assistant - Medical | (* (Not Available)) | Secondary |
| Entity Name | E. A. Hawse Health Center, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851359251 PECOS PAC ID: 6204728041 Enrollment ID: O20040326000928 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelli Eglinger, PA Po Box 97, Baker, WV 26801-0097 Ph: (304) 897-5915 | Kelli Eglinger, PA 17978 Sr 55, Baker, WV 26801 Ph: (304) 897-5915 |
Ms. Amy Teresa Phebus, PA-C Physician Assistant Medicare: Not Enrolled in Medicare Practice Location: 370 Harmony Springs Ln, Baker, WV 26801 Phone: 304-897-5301 |
Mrs. Lisa Marie Basye, PAC Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17978 State Rt. 55, Baker, WV 26801 Phone: 304-897-5915 |
Ms. Elaine Marie Smith, P.A.-C Physician Assistant Medicare: Accepting Medicare Assignments Practice Location: 17978 Sr 55, Baker, WV 26801 Phone: 304-897-5915 |
Donald D Harris, PA C Physician Assistant Medicare: Medicare Enrolled Practice Location: 17978 Sr 55, Baker, WV 26801 Phone: 304-897-5915 |